| NPI | 1073068979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11042887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A124582) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2025-10-13 |